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Archived: Allied Healthcare Salisbury

Overall: Requires improvement read more about inspection ratings

Unit 2, Boathouse Meadow Business Park, Cherry Orchard Lane, Salisbury, Wiltshire, SP2 7LD (01722) 416446

Provided and run by:
Nestor Primecare Services Limited

Latest inspection summary

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Background to this inspection

Updated 20 December 2018

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of one inspector, an assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

Allied Healthcare Salisbury is a domiciliary care agency (DCA). The service provides personal care to people living in their own homes in the community and people living in extra care housing schemes.

There was a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Notice of inspection:

We gave the provider 48 hours’ notice of the inspection visit because we needed to be sure the management would be in the office. We visited the office location on 6 and 7 November 2018 to see the registered manager and office staff and to review care records, policies and procedures. We visited two of the extra care housing schemes on 12 November 2018 and met with people who used the service and staff.

What we did:

Before the inspection we reviewed the information we held about the service and the service provider. The registered provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the notifications we had received for this service. Notifications are information about important events the service is required to send us by law.

We spoke with 17 people to gather their views about the care they received. This was a mixture of face to face and telephone conversations. During the office site visit we looked at records, which included 12 people’s care and medicines records. We checked recruitment, training and supervision records for four staff. We also looked at a range of records about how the service was managed. We spoke with the registered manager, regional operations manager, recruitment manager and six care staff.

After our site visit we contacted external health and social care professionals and commissioners to obtain their views about the service.

Overall inspection

Requires improvement

Updated 20 December 2018

What life is like for people using this service:

Leadership and management of the service had not ensured people received a high-quality service. The service was providing some clinical services they were not registered to provide at this location.

Systems to assess and monitor the quality of the service and plan improvements were not effective. The management team had not identified all the improvements that were needed and there was not an effective plan to address shortfalls.

People were not always safe when using the service. The provider did not have effective systems to investigate incidents or learn lessons when things went wrong. Staff were not always thoroughly checked before they started providing care for people.

The provider did not consistently ensure people making decisions on behalf of others were legally authorised to do so. Assessments about people’s capacity to consent to their care and treatment were not clear. The provider had not followed the principles of the Mental Capacity Act 2005.

Complaints were not well managed. Some people did not feel confident the provider would listen to and act on their concerns. Poor record keeping had resulted in the provider being unable to respond fully to a complaint they had received.

Despite the concerns about the management of the service, people felt the care staff were good and provided care in a kind and respectful way.

More information is in Detailed Findings below.

Rating at last inspection:

Requires improvement (report published 15 November 2017).

About the service:

Allied Healthcare Salisbury is a domiciliary care agency (DCA). The service provides personal care to people living in their own homes in the community as well and people living in extra care housing schemes.

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

We have told the provider they must take action to improve the service. We will meet with the provider following this report being published to discuss how they will make changes to ensure the service improves their rating to at least Good.